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Inj Prev. 2016 Oct;22(5):321-7. doi: 10.1136/injuryprev-2015-041707. Epub 2016 Feb 5.

Road traffic injuries in Baghdad from 2003 to 2014: results of a randomised household cluster survey.

Author information

1
Department of Surgery, University of Washington, Seattle, Washington, USA School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana Department of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana Surgeons OverSeas (SOS) and Fogarty International Center (R25-TW009345; D43-TW007267).
2
Department of Community Medicine, Al Munstansiriya University, Baghdad, Iraq Department of Global Health, University of Washington, Seattle, Washington, USA.
3
Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
4
Human Resources Development and Training Center, Iraq Ministry of Health, Baghdad, Iraq.
5
Department of Global Health, University of Washington, Seattle, Washington, USA Institute for Health Metrics and Evaluation, Seattle, Washington, USA.
6
Department of Global Health, University of Washington, Seattle, Washington, USA Department of Health Services, University of Washington, Seattle, Washington, USA.
7
Department of Health Sciences, Lakehead University, Thunder Bay, Ontario, Canada.
8
Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, Washington, USA.
9
Department of International Health, Center for Refugee and Disaster Response, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
10
Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA Surgeons OverSeas (SOS), New York, New York, USA Department of Surgery, Columbia University, New York, New York, USA.
11
Department of Surgery, University of Washington, Seattle, Washington, USA Department of Global Health, University of Washington, Seattle, Washington, USA.

Abstract

INTRODUCTION:

Around 50 million people are killed or left disabled on the world's roads each year; most are in middle-income cities. In addition to this background risk, Baghdad has been plagued by decades of insecurity that undermine injury prevention strategies. This study aimed to determine death and disability and household consequences of road traffic injuries (RTIs) in postinvasion Baghdad.

METHODS:

A two-stage, cluster-randomised, community-based household survey was performed in May 2014 to determine the civilian burden of injury from 2003 to 2014 in Baghdad. In addition to questions about household member death, households were interviewed regarding crash specifics, healthcare required, disability, relatedness to conflict and resultant financial hardship.

RESULTS:

Nine hundred households, totalling 5148 individuals, were interviewed. There were 86 RTIs (16% of all reported injuries) that resulted in 8 deaths (9% of RTIs). Serious RTIs increased in the decade postinvasion and were estimated to be 26 341 in 2013 (350 per 100 000 persons). 53% of RTIs involved pedestrians, motorcyclists or bicyclists. 51% of families directly affected by a RTI reported a significant decline in household income or suffered food insecurity.

CONCLUSIONS:

RTIs were extremely common and have increased in Baghdad. Young adults, pedestrians, motorcyclists and bicyclists were the most frequently injured or killed by RTCs. There is a large burden of road injury, and the families of road injury victims suffered considerably from lost wages, often resulting in household food insecurity. Ongoing conflict may worsen RTI risk and undermine efforts to reduce road traffic death and disability.

PMID:
26850472
DOI:
10.1136/injuryprev-2015-041707
[Indexed for MEDLINE]

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